Individual
ALYSSA MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 LINCOLNWAY E, GOSHEN, IN 46526-6818
(239) 920-3948
Mailing address
2014 LINCOLNWAY E, GOSHEN, IN 46526-6818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86249
IN
106E00000X
Assistant Behavior Analyst
0-25-15867
IN
106S00000X
Behavior Technician
—
IN
Other
Enumeration date
02/24/2025
Last updated
05/04/2026
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